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Kroger Texas L P

Community/Retail Pharmacy in Garland, TX · enumerated 2006 · authorized official Allison Bredestege, Pharmacy Licensing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104999630

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Registry record

Entity type Organization (Type 2)
Legal business name Kroger Texas L P
Other name <Unavail>
Practice address 1406 W Walnut St, Garland, TX, 75042
Phone (972) 494-9264
Fax (972) 272-4171
Enumeration date Nov 15, 2006
Last updated in NPPES Dec 5, 2017

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 20184 (TX) Primary

Authorized official

Name Allison Bredestege
Title Pharmacy Licensing Manager
Phone (513) 762-1019

Other identifiers

Identifier Type State Issuer
464527 Medicaid TX -
2102460 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kroger Texas L P?
The NPI for Kroger Texas L P is 1104999630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kroger Texas L P?
NPPES lists Allison Bredestege (Pharmacy Licensing Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-12-05.